Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles Cody Cull, DPM

Individual provider Podiatrist · NPI 1275619603

Dr. Charles Cody Cull, DPM is a Podiatry in Las Vegas, Nevada. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 1991, 35 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Nevada.

Years since qualifying
35
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
IN, NV
In the registry since
2006
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1717 Navajo Lake Way
Las Vegas, NV 89128-3283
Phone: (702) 596-5589
Fax: (725) 205-4844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1201 S 495 E, Lagrange, IN 46761-8975 — (260) 463-9903

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 1201 (NV)
Podiatrist Taxonomy 213E00000X · Licence 07000745A (IN)

Record details

NPI number1275619603
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedOctober 27, 2006
Last updated in NPPESOctober 28, 2019
Mailing address1717 Navajo Lake Way, Las Vegas, NV 89128-3283

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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